Kidney Transplantation
Conditions
Brief summary
Assessment of changes of renal hemodynamics by multiparametric MRI after closure of AVF access.
Interventions
Echocardiography and renal MRI before and after fistula closure
Sponsors
Study design
Eligibility
Inclusion criteria
* Written informed consent * Age \> 18 years * Patients wishing to close the fistula and planned for surgical fistula closure * eGFR CKD EPI ≥ 45 ml/min/1.73m2 at one year post transplantation * Stable eGFR within the past 6 months * Controlled blood pressure
Exclusion criteria
* Kidney Transplantation \< 12 months before fistula closure * Proteinuria \> 500mg/d * Presence of donor specific antibodies * Rejection within the past 6 months * BK virus replication within the past 3 months * Cardiac pacemaker, which is not compatible with MRI * Claustrophobia
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Assessment of changes in renal hemodynamics by multiparametric MRI after closure of AVF access | evaluation of short term changes within 2 weeks after fistula closure and longterm changes 6 months after fistula closure | Assessing changes in renal perfusion |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Correlation between AVF access flow and changes as assessed during pneumatic fistula compression with changes in renal hemodynamics after fistula closure | evaluation of short term changes within 2 weeks after fistula closure and longterm changes 6 months after fistula closure | Correlation between AVF access flow and changes as assessed during pneumatic fistula compression with changes in renal hemodynamics after fistula closure |
Countries
Switzerland